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General NPI Number Information
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NPI Number | 1295965143
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Entity Type | Individual
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Provider Name | HILLARY MONICA BERENS PSY.D, MFT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 1800 BRIDGEGATE ST STE 204
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1459
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Country | US
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Telephone | 310-486-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 BRIDGEGATE ST STE 204
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1459
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Country | US
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Telephone | 310-486-4007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 38324
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT 38324
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License Number State | CA
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